Organization Active NPI

Inside Out Occupational Therapy

  • Occupational Therapist
  • Iuka, MS
National Provider Identifier
1578071122
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INSIDE OUT OCCUPATIONAL THERAPY
Practice address
106 W Front St
Iuka, MS 38852-2325
Phone
(601) 218-5703
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betty Chiles
Title
Credentialing Specalist
Phone
(601) 618-5120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X MS Primary
Physical Therapy Clinic/Center 261QP2000X MS

Addresses

Primary practice location

106 W Front St
Iuka, MS 38852-2325

Mailing address

PO Box 993
Iuka, MS 38852-0993
Phone (601) 218-5703

National Provider Directory

National Provider Directory

Locations

106 W Front St
Iuka, MS 38852
Phone (601) 218-5703

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1578071122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388520993",
            "telephone_number": "601-218-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W FRONT ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388522325",
            "telephone_number": "601-218-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE OUT OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "CHILES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CREDENTIALING SPECALIST",
        "authorized_official_telephone_number": "601-618-5120"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.